Dante Rosas, | |
4500 Spring Ave, Dallas, TX 75210-1350 | |
(214) 670-8391 | |
Not Available |
Full Name | Dante Rosas |
---|---|
Gender | Male |
Speciality | Dietitian, Registered |
Location | 4500 Spring Ave, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285345314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DT88062 (Texas) | Primary |
Provider Name | Healthtexas Provider Network |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
Mailing Address | Practice Location Address |
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Dante Rosas, 4500 Spring Ave, Dallas, TX 75210-1350 Ph: (214) 670-8391 | Dante Rosas, 4500 Spring Ave, Dallas, TX 75210-1350 Ph: (214) 670-8391 |
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